﻿<%@ Page Language="C#" AutoEventWireup="true" Inherits="JWBSTAPP.MsjFzGjpcsqAdd" Codebehind="MsjFzGjpcsqAdd.aspx.cs" %>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head id="Head1" runat="server">
    <title>新增</title>
    <link href="../Styles/AddOrEditPage.css" rel="stylesheet" type="text/css" />
    <link rel="stylesheet" href="../Styles/validationEngine.jquery.css" type="text/css"
        media="screen" charset="utf-8" />
    <script src="../Scripts/jQuery-1.9.0.js" type="text/javascript"></script>
    <script type="text/javascript" src="../Scripts/jquery.validationEngine-cn.js"></script>
    <script type="text/javascript" src="../Scripts/jquery.validationEngine.js"></script>
    <script type="text/javascript" src="../Scripts/CommonADEQ3.js"></script>
    <script type="text/javascript">
        $().ready(function () {
            InitAddPage("MsjFzGjpcsqForm", "../AjaxServer/Form/MsjFzGjpcsqHandler.ashx");
        });
    </script>
</head>
<body>
    <div class="container">
        <form id="MsjFzGjpcsqForm" action="" method="get">
        <table class="mainTable">
            <tr>
                <td class="mainTable_TitleTd" colspan="4">
                    新增
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texSqr">
                        申请人：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSqr" name="texSqr" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texXb">
                        性别：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texXb" name="texXb" class="validate[required]" type="text" size="30" value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texMz">
                        民族：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texMz" name="texMz" class="validate[required]" type="text" size="30" value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texFr">
                        法人或主要负责人：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texFr" name="texFr" class="validate[required]" type="text" size="30" value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texZz">
                        住址：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texZz" name="texZz" class="validate[required]" type="text" size="30" value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texSfzh">
                        身份证号：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSfzh" name="texSfzh" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texYzbm">
                        邮政编码：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texYzbm" name="texYzbm" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texDh">
                        电话：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texDh" name="texDh" class="validate[required]" type="text" size="30" value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texPcywjg">
                        赔偿义务机关：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texPcywjg" name="texPcywjg" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texPcyq">
                        赔偿要求：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texPcyq" name="texPcyq" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texSshly">
                        事实和理由(简要)：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSshly" name="texSshly" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texQm">
                        申请人签名：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texQm" name="texQm" class="validate[required]" type="text" size="30" value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_LeftTd">
                    <label for="texSqrq">
                        申请日期：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSqrq" name="texSqrq" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
                <td class="mainTable_LeftTd">
                    <label for="texSljg">
                        受理机关：</label>
                </td>
                <td class="mainTable_RightTd">
                    <input id="texSljg" name="texSljg" class="validate[required]" type="text" size="30"
                        value="" />
                </td>
            </tr>
            <tr>
                <td class="mainTable_ButtonTd" colspan="4">
                    <input class="button" type="submit" value="提交" />
                    <input class="button" type="button" value="取消" onclick="window.parent.tb_remove();" />
                </td>
            </tr>
        </table>
        </form>
    </div>
</body>
</html>
